Effective delivery of apomorphine in the management of Parkinson disease: practical considerations for clinicians and Parkinson nurses.

Author: BhidayasiriRoongroj, BoonpangKamolwan, ChaudhuriK Ray, LeWittPeter, MartinAnne, van LaarTeus

Paper Details 
Original Abstract of the Article :
The clinical utility of long-term oral levodopa therapy in Parkinson disease (PD) is often limited by the emergence of motor complications. Over time, many patients with PD experience regular and/or unpredictable "off" periods, despite taking optimized oral medication regimens, with a major negative...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/25970277

データ提供:米国国立医学図書館(NLM)

Apomorphine: A Vital Tool in Managing Parkinson's Disease

Long-term oral levodopa therapy is often used to manage Parkinson's disease (PD), but motor complications can arise over time. This review examines the efficacy of subcutaneous apomorphine administration, a dopaminergic agonist, in addressing these motor fluctuations and improving quality of life for PD patients.

Apomorphine: A Promising Treatment for Motor Fluctuations

The review highlights the potential of apomorphine for treating patients experiencing 'off' periods and managing motor fluctuations refractory to conventional oral therapy. The authors discuss three primary approaches to apomorphine administration: intermittent injection, continuous infusion, and the apomorphine response test. They emphasize the importance of a multidisciplinary team, including specialist nurses, in managing PD patients and optimizing apomorphine therapy.

The Importance of Multidisciplinary Care in Parkinson's Disease

Imagine a camel caravan traversing a challenging desert landscape, each member playing a vital role in ensuring the group's survival and well-being. Similarly, managing PD effectively requires a multidisciplinary team approach, involving physicians, nurses, physical therapists, and other healthcare professionals. This review highlights the crucial role of a collaborative team in optimizing apomorphine therapy and improving the quality of life for PD patients.

Dr. Camel's Conclusion

This review highlights the efficacy of apomorphine in managing motor fluctuations in Parkinson's disease, emphasizing the importance of a multidisciplinary team approach to optimize treatment and improve patient outcomes. As we continue to explore the complexities of neurodegenerative diseases, we must embrace a collaborative and holistic approach to patient care, seeking innovative strategies to enhance quality of life and promote well-being for those affected.
Date :
  1. Date Completed 2016-04-07
  2. Date Revised 2015-05-14
Further Info :

Pubmed ID

25970277

DOI: Digital Object Identifier

00002826-201505000-00003

Related Literature

SNS
PICO Info
in preparation
Languages

English

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